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The treatment of spondylotic cervical myelopathy by multiple subtotal vertebrectomy and fusion

 

作者: JamjoomAbdulhakim,   WilliamsChristopher,   CumminsBrian,  

 

期刊: British Journal of Neurosurgery  (Taylor Available online 1991)
卷期: Volume 5, issue 3  

页码: 249-255

 

ISSN:0268-8697

 

年代: 1991

 

DOI:10.3109/02688699109005184

 

出版商: Taylor&Francis

 

关键词: Cervical myelopathy;cervical spondylosis;anterior fusion;vertebrectomy

 

数据来源: Taylor

 

摘要:

The authors report their experience in the treatment of cervical spondylotic myelopathy by multiple subtotal vertebrectomy and fusion. There were 27 cases with a mean age of 66.9 years. The clinical assessment was carried out using both the Nurick and the Japanese Orthopaedic Association (JOA) grading pre- and post-operatively at 6 months. The post-operative radiological assessment was done at 3 and 6 months. Two cases died from unrelated medical problems. There were three cases of graft dislodgement. Clinical improvement was detected in 80% of cases using the Nurick grading and in 88% of cases using the JOA scoring. No cases deteriorated neurologically after operation. Bony fusion was achieved in 96% of the surviving cases by 6 months. Multiple subtotal vertebrectomy and fusion is therefore an effective method for the treatment of cervical spondylotic myelopathy.

 

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